1 Henry presents to clinic with a significantly swollen painful great toe and is diagnosed with gout NR 508 Advanced pharmacology Quiz questions and answers Chapter 25 Drugs Used in Treating Inflammatory Processes Multiple Choice Identify the choice that best completes the statement or answers the question Of the following which would be the best treatment for Henry A High dose colchicine B Low dose colchicine C High dose aspirin D Acetaminophen with codeine 2 Patient education when prescribing colchicine includes A Colchicine may be constipating B Colchicine always causes some degree of diarrhea C Mild muscle weakness is normal D Moderate amounts of alcohol are safe with colchicine 3 Larry is taking allopurinol to prevent gout Monitoring of a patient who is taking 4 Phil is starting treatment with febuxostat Uloric Education of patients starting febuxostat includes 5 Sallie has been taking 10 mg per day of prednisone for the past 6 months She should be allopurinol includes A Complete blood count B Blood glucose C C reactive protein D BUN creatinine and creatinine clearance A Gout may worsen with therapy B Febuxostat may cause severe diarrhea C He should consume a high calcium diet D He will need frequent CBC monitoring assessed for A Gout B C Osteoporosis D Renal dysfunction Iron deficiency anemia 6 Patients whose total dose of prednisone will exceed 1 gram will most likely need a second prescription for A Metformin a biguanide to prevent diabetes B Omeprazole a proton pump inhibitor to prevent peptic ulcer disease C Naproxen an NSAID to treat joint pain D Furosemide a diuretic to treat fluid retention 7 Daniel has been on 60 mg of prednisone for 10 days to treat a severe asthma exacerbation It is time to discontinue the prednisone How is prednisone discontinued A Patients with asthma are transitioned directly off the prednisone onto inhaled corticosteroids B Prednisone can be abruptly discontinued with no adverse effects C Develop a tapering schedule to slowly wean Daniel off the prednisone D Substitute the prednisone with another anti inflammatory such as ibuprofen 8 Patients with rheumatoid arthritis who are on chronic low dose prednisone will need co treatment with which medications to prevent further adverse effects A A bisphosphonate B Calcium supplementation C Vitamin D D All of the above 9 Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of A Serum glucose B Stool culture C Folate levels D Vitamin B12 10 Patients who are on chronic long term corticosteroid therapy need education regarding A Receiving all vaccinations especially the live flu vaccine B Reporting black tarry stools or abdominal pain C Eating a high carbohydrate diet with plenty of fluids D Small amounts of alcohol are generally tolerated 11 All nonsteroidal anti inflammatory drugs NSAIDS have an FDA Black Box warning regarding Increased risk of developing systemic arthritis with prolonged use A Potential for causing life threatening GI bleeds B C Risk of life threatening rashes including Stevens Johnson D Potential for transient changes in serum glucose 12 Jamie has fractured his ankle and has received a prescription for acetaminophen and It is OK to double the dose of Vicodin if the pain is severe hydrocodone Vicodin Education when prescribing Vicodin includes A B Vicodin is not habit forming C He should not take any other acetaminophen containing medications D Vicodin may cause diarrhea increase his fluid intake 13 When prescribing NSAIDS a complete drug history should be conducted as NSAIDs interact with these drugs A Omeprazole a proton pump inhibitor B Combined oral contraceptive C Diphenhydramine an antihistamine D Warfarin an anticoagulant 14 Josefina is a 2 year old with acute otitis media and upper respiratory infection Along with an antibiotic she receives a recommendation to treat the ear pain with ibuprofen What education would her parent need regarding ibuprofen A They can cut an adult ibuprofen tablet in half to give Josefina B C Josefina needs to be well hydrated while taking ibuprofen D Ibuprofen is completely safe in children with no known adverse effects Ibuprofen dose can be doubled for severe pain 15 Henry is 82 years old and takes two aspirin every morning to treat the arthritis pain in his back He states the aspirin helps him to get going each day Lately he has had some heartburn from the aspirin After ruling out an acute GI bleed what would be an appropriate course of treatment for Henry A Add an H2 blocker such as ranitidine to his therapy B Discontinue the aspirin and switch him to Vicodin for the pain C Decrease the aspirin dose to one tablet daily D Have Henry take an antacid 15 minutes before taking the aspirin each day 16 The trial period to determine effective anti inflammatory activity when starting a patient on 17 Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity An aspirin for rheumatoid arthritis is A 48 hours B 4 to 6 days C 4 weeks D 2 months early sign of aspirin toxicity is A Black tarry stools B Vomiting C Tremors D Tinnitus A Salicylate level B Complete blood count C Urine pH D All of the above A Complete blood count B Salicylate level C Amylase D Urine analysis 18 Monitoring a patient on a high dose aspirin level includes 19 Patients who are on long term aspirin therapy should have annually Chapter 25 Drugs Used in Treating Inflammatory Processes Answer Section MULTIPLE CHOICE 1 ANS B 2 ANS B 3 ANS D 4 ANS A 5 ANS C 6 ANS B 7 ANS C 8 ANS D 9 ANS A 10 ANS B 11 ANS A 12 ANS C 13 ANS D 14 ANS C 15 ANS A 16 ANS B 17 ANS D 18 ANS D 19 ANS A PTS 1 PTS 1 PTS 1 PTS 1 PTS 1 PTS 1 PTS 1 PTS 1 PTS 1 PTS 1 PTS 1 PTS 1 PTS 1 PTS 1 PTS 1 PTS 1 PTS 1 PTS 1 PTS 1 Copyright 2016 F A Davis Company Chapter 35 Headaches Multiple Choice Identify the choice that best completes the statement or answers the question 1 Paige has a history of chronic migraines and would benefit from preventative medication Education regarding migraine preventive medication includes 1 Medication is taken at the beginning of the headache to prevent it from getting worse 2 Medication alone is the best preventative against migraines occurring 3 Medication should not be used more than four times a month 4 The goal of treatment is to reduce migraine occurrence by 50 2 A first line drug for abortive therapy in simple migraine is 1 Sumatriptan Imitrex 2 Naproxen Aleve 3 Butorphanol nasal spray Stadol NS 4 Butalbital and